Non-surgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
Comparative Effectiveness of Nonpharmacological Interventions
No statistically significant differences were found in meta-analysis of these head-to-head comparisons;
For stress and mixed UI, PFMT combined with either biofeedback, bladder training, or supervision, versus PFMT alone. The strength of evidence in support of these findings is high.
For PFMT combined with either intravaginal electrical stimulation or intravaginal devices versus PFMT alone, the strength of evidence in support of these findings is high.
For variations in position for PFMT, the strength of evidence for the finding is low.
For intravaginal and intraurethral devices and bulking agents, compared with PFMT, the strength of evidence is low.
For urgency UI, bladder training alone versus bladder training combined with PFMT, the strength of evidence is high.
Keywords: urinary incontinence | stress incontinence | urge incontinence | urgency incontinence | mixed incontinence | PFMT | pelvic floor muscle training | Kegel | biofeedback | bladder training | intravaginal electrical stimulation | intravaginal devices | intraurethral devices | bulking agents | bladder training
- Shamliyan T, Wyman J, Sainfort F, et al. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Comparative Effectiveness Review No. 36 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I). Rockville, MD: Agency for Healthcare Research and Quality; April 2012. AHRQ Publication No. 11(12)-EHC074-EF. Available at www.effectivehealthcare.ahrq.gov/ui.cfm.
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